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KELLIE MARIE PATE
NPI 1609248368
Counselor - Addiction (Substance Use Disorder) in Stockton, CA

Active since October 21, 2015
1212 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-0103 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 2, 2025, Mar 8, 2024, Jul 17, 2023 (3 updates tracked since 2023).

About Kellie Marie Pate NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE MARIE PATE (NPI 1609248368) is an individual addiction (substance use disorder) provider in Stockton, California, licensed in California (CO56670518) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1609248368
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLIE MARIE PATE
Location Address1212 N CALIFORNIA STStockton, CA 95202-1552
Mailing Address1212 N California StStockton, CA 95202-1552 · (209) 468-8694
Phone(209) 468-0103
Sole ProprietorNo
Enumeration DateOctober 21, 2015
Last NPPES UpdateJune 2, 20253 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1609248368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · CO56670518
Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X · License CO56670518 (CA)
1212 N CALIFORNIA ST, Stockton, CA 95202
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8700
PENNY GIBBONS BURKE RPH
Pharmacist
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8711
DOLORIS MOODY
Case Manager/Care Coordinator
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8660
MS. DELIA ORDAZ RN
Registered Nurse
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-3760
DONNA L BICKHAM ACSW
Social Worker (Clinical)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 953-7313
RITA N. MENDOZA
Technician, Other
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8718
MR. KENNETH RAY COCIO
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8660
ANDREA MICHELLE HERNANDEZ
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8686

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Pate's NPI number?

The NPI number for Kellie Pate is 1609248368. It was assigned to this individual provider in the NPPES registry on October 21, 2015.

Where is Kellie Pate located?

Kellie Pate practices at 1212 N California St, Stockton, CA 95202. The listed phone number is (209) 468-0103.

What is Kellie Pate's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kellie Pate was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.